Dr Paws’ Post

❄️Laryngeal mass❄️ ✳️Space occupying lesion causing upper airway obstruction which required laryngoscopic and resp. endoscopic ex. for evaluating the cause of progressive dyspnea and distress during exercise. ✳️A 11y old Rotweiller dog represented to our small animall veterinary hospital with signs of acute respiratory distress, stridor, voice changes, cyanosis during exercise and high temperature, other signs of dysphagia, and weightloss notieced by the owner. ✳️Physical ex.: Revealed inspiratory dyspnea, rapid shallow respiration with wheezes on auscaltation larynx and lung fields. Cough test was positive giving paroxysmal coughs. ✳️Diagnostic imaging: -Radiography: Cervical radiographs showed soft tissue opacity occupying the thoracic inlet. Laryngeal tumor and granulomatous non neoplastic laryngitis were on the top of the differintial diagnosis list, so that, cytology or punch biopsy from the lesion was crucial for differentiating. ✳️Resp. endoscopy preformed and findings noted in the attached endoscope sheet. • Findings: Upper airway obstruction evident, large immovable, cylindrical mass attached to the cricoarytenoid area and first 2 tracheal rings collapsing the lumen, cytology brushes used to collect samples, biopsy with electrocautery preformed and the histopathology result is pending. • Recommendations: Surgical excision with partial or total laryngectomy, Tracheostomy, Antiinflammatory medications and bronchodilators. Looking forward to hear Your thoughts about this case?💙 ahmad tarek Barakat #Endoscope #Laryngoscope #Surgery #Vet #Respiratory #Dyspnea #Canine

Respiratory Endoscopic sheet, showing the anaesthesia regime and endoscopic findings with grading of its severity.

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